Individual
DANIEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
(478) 327-8059
Mailing address
PSC 3 BOX 5252, APO, AP 96266-0053
(315) 784-4012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9385
SC
Other
Enumeration date
03/28/2019
Last updated
07/25/2025
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